Associations between gait kinematics, gross motor function and physical activity among young people with cerebral palsy: A cross sectional study

Ryan, Jennifer M., Lavelle, Grace, Noorkoiv, Marika, Kiernan, Damien, Theis, Nicola ORCID: 0000-0002-0775-1355, Little, Úna, Shortland, Adam and Malone, Ailish (2022) Associations between gait kinematics, gross motor function and physical activity among young people with cerebral palsy: A cross sectional study. Physiotherapy Practice and Research, 43 (1). pp. 71-80. doi:10.3233/PPR-200411

11286_Theis_Ryan_Lavelle_Noorkoiv_Kiernan_Little_Shortland_Malone_(2022)_Associations_between_gait_kinematics_gross_motor_function_and_physical_activity_among_young_people_with_cerebral_palsy_a_cross_sectional_study.pdf - Accepted Version
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INTRODUCTION: The aim of this study was to investigate the association between gait parameters, gross motor function and physical activity (PA) in young people with cerebral palsy (CP). METHODS: Thirty-eight adolescents aged between 10–19 years with spastic CP in GMFCS levels I-III (mean [standard deviation] age 13.7 [2.4] yr; 53%female) were included in this cross-sectional study. Hip, knee and ankle joint excursion and stance time was assessed using 3D gait analysis. Self-selected walking speed was assessed during a timed 10 m overground walk and treadmill walking. Gross motor function was assessed using dimensions D and E of the Gross Motor Function Measure (GMFM-66). Moderate-to-vigorous PA, light PA and step-count were assessed using an accelerometer. Linear regression was used to examine associations. RESULTS: After adjusting for age, sex and GMFCS level, percentage stance time was associated with dimension E of the GMFM-66 (β= –0.29, 95%CI –0.54 to –0.05). There was no evidence that any other gait parameters were associated with GMFM-66 dimensions D or E. There was also no evidence that gait parameters or GMFM-66 dimensions D or E were associated with step-count or time in PA after adjusting for age, sex and GMFCS level. DISCUSSION: The findings provide an insight into the complexity of the relationship between gait quality or ability at the impairment level, function as measured in a controlled environment, and the performance of habitual PA, which is essential for health among children with CP.

Item Type: Article
Article Type: Article
Uncontrolled Keywords: Developmental neurology and neurodisability; functional performance; gait; gait analysis; mobility limitation; paediatrics
Subjects: R Medicine > RM Therapeutics. Pharmacology > RM695 Physical medicine. physical therapy including massage, exercise, occupational therapy, hydrotherapy, phototherapy, radiotherapy, thermotherapy, electrotherapy
Divisions: Schools and Research Institutes > School of Education and Science
Research Priority Areas: Health, Life Sciences, Sport and Wellbeing
Depositing User: Anna Kerr
Date Deposited: 26 Jul 2022 16:25
Last Modified: 31 Aug 2023 09:06

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